title: [Hysteroscopic myomectomy using bipolar energy: a gold standard?].
abstract: In recent years, hysteroscopic resection has become the treatment of choice for submucous fibroids. Technological advances enabled the use of bipolar resectoscopes, in the same way as new bipolar instruments used in laparoscopy or open surgery. Bipolar systems would be expected to eliminate the risks of hyponatremia and electrical burns. In evaluation studies, bipolar energy used in operative hysteroscopy is as effective in comparison with the unipolar system. However, no clinical study has yet shown increased reliability of bipolar resection to consider their use as a gold standard. Outpatient operative hysteroscopy is now developing rapidly with the introduction of bipolar energy and small-diameter endoscopes. Although the financial impact is unknown, It allows time saving with maximal safety, avoiding cervical dilatation and anesthetic procedures.
authors.affiliation: Service d'obstétrique et de chirurgie gynécologique, centre hospitalier Lyon-Sud, 165, chemin du Grand-Revoyet, 69495 Pierre-Bénite, France. neajdubuisson@yahoo.fr
authors.forename: J
authors.initials: J
authors.lastname: Dubuisson
authors.forename: F
authors.initials: F
authors.lastname: Golfier
authors.forename: D
authors.initials: D
authors.lastname: Raudrant
mesh_terms: D004598:Electrosurgery / Q000009:adverse effects; D005260:Female; D006801:Humans; D015907:Hysteroscopy / Q000009:adverse effects / Q000379:methods*; D007889:Leiomyoma / Q000601:surgery*; D014594:Uterine Neoplasms / Q000601:surgery*